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Dr. Mateus Pinto extracts a tooth from a patient while U.S. Navy Lt. Cmdr. Jimmy Ku explains the process to Capt. Randy Van Rossum, Pacific Partnership 2019 mission commander, during a subject matter expert exchange at Vera Cruz Health Clinic as part of Pacific Partnership 2019. Pacific Partnership, now in its 14th iteration, is the largest annual multinational humanitarian assistance and disaster relief preparedness mission conducted in the Indo-Pacific. Each year the mission team works collectively with host and partner nations to enhance regional interoperability and disaster response capabilities, increase security and stability in the region, and foster new and enduring friendships in the Indo-Pacific.